Shockwave therapy is a non-invasive treatment, where high-energy waves are passed through the skin to help relieve pain and promote movement in the affected area. It is used for conditions that are normally very difficult to treat.

What can Shockwave Therapy treat?

Shockwave therapy can treat a wide range of conditions, including:

  • Plantar fasciitis
  • Achilles tendon pain
  • Jumper’s Knee
  • Runner’s Knee
  • Tennis and Golfers Elbow – Shoulder tendinopathy
  • Muscle pain
  • Back and neck pain

The UK’s National Institute for Health and Care Excellence (NICE) has issued guidelines for the use of Shockwave in treating four conditions: Achilles Tendinopathy; Calcific Tendonitis of the Shoulder; Plantar Fasciitis and Tennis Elbow.

What is the procedure?

Shockwave treatment is normally carried out after a session of manual therapy.

Treatment is applied directly to the skin above the affected area with a special handpiece.

After applying some gel to improve contact with the skin, the clinician will move a special handpiece over the region of pain, adding a little bit of pressure as they do so.

Shockwaves are generated with a mechanism inside the handpiece using compressed air. There is a “ticking” sound as the waves are produced and there may be some noise from the compressor.

Treatment is quick and will only take 5 to 10 minutes.

The number of sessions needed depends on the nature and severity of pain.

shockwave therapy

Does it hurt?

Some patients report discomfort during treatment, though this varies depending on the person, the body part and the condition being treated. Within the first few seconds, shockwave therapy causes temporary anaesthesia in the area being treated. This can help the clinician increase the frequency to therapeutically beneficial levels without causing too much discomfort.

The anaesthetic effect can last for a few hours after treatment. Care should be taken not to over-exercise the treated area during this time. If treatment becomes too uncomfortable, let the clinician know.

Is it safe?

The National Institute for Health and Care Excellence (NICE) states that shockwave therapy is safe, although it can cause minor side-effects, including bruising and reddening of skin in the area being treated.


Individual treatment sessions – £110

Block of 3 treatment sessions – £300

Get in touch

If you would like us to contact you to discuss some sessions, or if just want to find out a bit more about how Shockwave Therapy works, please get in touch via the form below.

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Dear Stephen, I have been meaning to send you a note since February, when I was eventually signed off from Chelsea Hospital. Your help was invaluable, as the physiotherapists at the hospital were not able (or not permitted?) to give any hands on treatment. I believe that the work you did on my frozen shoulder was what made a tremendous difference in getting me back to full mobility. So – many thanks!

R. G.

I’m a personal trainer and have had problems with my shoulder and hip for a couple of years. An orthopaedic surgeon recommended Pippa to me after going to see him about my shoulder. I am delighted with the results. Her wonderful holistic approach has meant that she has fixed both my shoulder and hip and I am finally pain free. I couldn’t recommend her enough.

Nicky O'Sullivan

A huge thank-yous to you, and Kathryn, for setting us all up for our Zoomy Back Class. I used to much enjoy our Thursday afternoons, so now, in these extraordinary times, having class TWICE a week is such a welcome and bolstering thing, and we feel so lucky that you’ve made it possible. We both really feel the benefit, both physically and mentally. Big claps for Richmond Physio on Thursday nights! See you both tomorrow……..Cheers.

Joan and Derek